Psychological Burden in Stroke Survivors and Caregivers Dyads at the Rehabilitation Center of Kinshasa (Democratic Republic of Congo): A Cross-Sectional Study

Kitoko, Germain Manzekele Bin; Vivalya, Bives Mutume Nzanzu; Vagheni, Martial Mumbere; Nzuzi, Thierry Matonda Ma; Lusambulu, Sam Mampunza; Lelo, Gilbert Mananga; Mpembi, Magloire Nkosi; Miezi, Samuel Mampunza Ma

doi:10.1016/j.jstrokecerebrovasdis.2022.106447

Cited by 4 publications

(13 citation statements)

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“…The articles were from fourteen countries representing all the sub-regions of SSA. The highest number of articles (11/47) were from Nigeria (29–39) and South Africa (11,26,27,40–47), while each of the following countries had one (1/47) article; Togo (48), Zimbabwe (49), Kenya (50), Sudan (51), Democratic Republic of Congo (52) and Cameroon (25). Among the articles from South Africa, two used data from the same study (42,43).…”

Section: Resultsmentioning

confidence: 99%

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Health and economic impact of caregiving on informal caregivers of people with chronic diseases in Sub-Saharan Africa: A systematic review

Kisangala,

Mbivnjo,

Webb

et al. 2024

Preprint

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Background With a disproportionate burden of chronic diseases and severe shortage of health workers in sub-Saharan Africa (SSA), the region implicitly relies on informal caregivers (ICGs) to support the patients both within and outside the health facilities. The aim of this review is to explore the health and economic impact of caregiving on ICGs of patients with chronic diseases in SSA. Methods Medline (Ovid), CINAHL (EBSCOhost), PsycINFO (Ovid), Embase (Ovid), Global Health and Web of Science databases were systematically searched to identify original articles that considered the economic and/or health impacts of caregiving in SSA. The results from the included studies were synthesised narratively. Results After screening 4,372 articles, 47 were included for synthesis. The articles were from all sub-regions of SSA with more than half (25/47) of the articles focussing on caregivers for patients with cancer. Although the primary motivation for becoming caregivers was love and responsibility, the caring responsibilities described in twenty articles, had profound effects on the caregiver’s lives. Healthwise, ICGs experienced changes in their physical and mental health like developing musculoskeletal problems and depression. Economically, caregiving was expensive, and financially draining. The opportunity cost of caregiving included loss of jobs, loss of income, foregoing planned important activities and missed education opportunities. Conclusion ICGs reported a range of mainly negative health and economic effects of the work they do. Health care systems should consider how to better support ICGs in terms of their own physical and mental wellbeing and governments should consider how to better financially support ICGs.

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Section: Resultsmentioning

confidence: 99%

“…There was no study with a comparison group. Also, ten articles (29,30,32,34,38,49,52,56–58) (41.7% of the quantitative articles) noted that they excluded ICGs who had any of the outcomes of interest prior to assuming the caregiving role.…”

Section: Resultsmentioning

confidence: 99%

Health and economic impact of caregiving on informal caregivers of people with chronic diseases in Sub-Saharan Africa: A systematic review

Kisangala,

Mbivnjo,

Webb

et al. 2024

Preprint

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“…In continuation, apart from the risk of depression, there is the possibility of exhibiting anxiety symptoms when there are high levels of perceived burden [ 27 , 37 ]. Specifically, Kitoko et al [ 49 ] noticed that high burden levels were associated with high anxiety levels in caregivers. Furthermore, interestingly, Rohde et al [ 54 ] found that one-fourth of family members had evidence of anxious symptoms five years after the patient’s stroke incidents, and one-fifth of them exhibited anxiety symptoms.…”

Section: Discussionmentioning

confidence: 99%

A Holistic Approach to Expressing the Burden of Caregivers for Stroke Survivors: A Systematic Review

Tziaka,

Tsiakiri,

Vlotinou

et al. 2024

Healthcare

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This systematic review explores the multifaceted challenges faced by caregivers of stroke survivors, addressing the global impact of strokes and the anticipated rise in survivors over the coming decades. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a thorough literature search identified 34 relevant studies published between 2018 and 2023. The review categorizes caregiver burden into four domains: physical health, social functioning, financial issues, and psychological health. Caregivers often experience a decline in physical health, marked by chronic fatigue, sleep disturbances, and pain. Emotional distress is prevalent, leading to anxiety and depression, especially in cases of high burden. Financial strains arise from medical expenses and employment changes, exacerbating the overall burden. Contextual factors, such as cultural norms and resource availability, influence the caregiver experience. The Newcastle–Ottawa scale assessed the methodological quality of studies. The conclusion emphasizes tailored interventions and support systems for caregivers, with practical recommendations for healthcare professionals, therapists, mental health professionals, financial counselors, and policymakers. This comprehensive review enhances the understanding of caregiver experiences and provides actionable insights to improve stroke care and rehabilitation The study’s novelty lies in its holistic examination of caregiver burden in stroke care, its focus on the recent literature, and its emphasis on forecasting caregiver outcomes, contributing valuable insights for proactive intervention strategies.

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“…This test can be completed in 5–10 min. Cognitive impairment is indicated when the total score is ≤20 for individuals with low education level (≤6 years), and ≤ 24 for those with high education level (>6 years), according to the Shanghai Mental Health Center ( 20 ). The MMSE is a quick and reliable tool with a high Youden index, and a balanced trade-off between sensitivity and specificity ( 21 ).…”

Section: Methodsmentioning

confidence: 99%

Prevalence and factors influencing cognitive impairment among the older adult stroke survivors: a cross-sectional study

Huang,

Wang,

Zou

et al. 2023

Front. Public Health

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BackgroundCognitive impairment as a complication in post-stroke patients has high prevalence throughout the world. However, few studies have focused on the older adult stroke survivors and explored their prevalence and factors of post-stroke cognitive impairment (PSCI). The study aims to evaluate the cognitive status of stroke patients in Hunan Province, China and to determine the potential risk factors associated with PSCI in order to identify the older adult population in advance and promote healthy aging.MethodsThis cross-sectional study was carried out from August to December, 2021. A total of 520 stroke survivors from 6 tertiary hospitals were randomly selected. The information was collected using the general questionnaire, the Barthel Index Rating Scale and the Mini-mental State Examination (MMSE). Analysis was based on descriptive statistics, chi-square test and the significant variables were included in multivariate logistic regression. The reporting of this cross-sectional study followed the STROBE checklist.ResultsA total of 195 older adults (40.37%) were screened for cognitive impairment based on the results of the MMSE score. Patients in the PSCI group had a higher proportion of individuals aged 70 or older (35.90% vs. 24.65%, p<0.001). The potential risk factors for post-stroke cognitive impairment in older adults were being aged between 70 and 79 years old (OR = 3.973, 95% CI, 2.346–6.729, p<0.001), being aged 80 years or older (OR = 3.590, 95% CI, 1.373–9.387, p = 0.009), having a low level of education (OR = 9.183, 95% CI, 5.341–15.789, p<0.001), having hypertension (OR = 1.756, 95% CI, 1.121–2.753, p = 0.014), and having a dominant hemisphere lesion (OR = 1.880, 95% CI, 1.193–2.962, p<0.001).ConclusionThe prevalence of PSCI was high among Chinese older adults, particularly those aged 80 years or older. The factors identified in our study could assist in the early identification of older adults at risk, develop personalized management plans, and promote healthy aging.

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Psychological Burden in Stroke Survivors and Caregivers Dyads at the Rehabilitation Center of Kinshasa (Democratic Republic of Congo): A Cross-Sectional Study

Cited by 4 publications

References 24 publications

Health and economic impact of caregiving on informal caregivers of people with chronic diseases in Sub-Saharan Africa: A systematic review

Health and economic impact of caregiving on informal caregivers of people with chronic diseases in Sub-Saharan Africa: A systematic review

A Holistic Approach to Expressing the Burden of Caregivers for Stroke Survivors: A Systematic Review

Prevalence and factors influencing cognitive impairment among the older adult stroke survivors: a cross-sectional study

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